Provider Demographics
NPI:1750372363
Name:QURESHI & ASSOC INC
Entity type:Organization
Organization Name:QURESHI & ASSOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF QURESHI AND ASSOC INC
Authorized Official - Prefix:DR
Authorized Official - First Name:NARONG
Authorized Official - Middle Name:
Authorized Official - Last Name:MANETAVAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-922-2519
Mailing Address - Street 1:5049 CROOKSHANK RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-3352
Mailing Address - Country:US
Mailing Address - Phone:513-922-2519
Mailing Address - Fax:513-922-2214
Practice Address - Street 1:5049 CROOKSHANK RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3352
Practice Address - Country:US
Practice Address - Phone:513-922-2519
Practice Address - Fax:513-922-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35100319M208600000X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00319OtherCHOICE CARE
OH0523428Medicaid
OH0641638OtherAETNA
OH14240826000OtherBUREAU OF WORKERS COMP
000000004984OtherANTHEM
OH1720406OtherUNITED HEALTH CARE
OH142408260001OtherMEDICAL MUTUAL
OH=========026OtherCARE SOURCE
OH1720406OtherUNITED HEALTH CARE
00319OtherCHOICE CARE